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Published VersionCC BY V4.0, Open Access
Journal article
Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease
International Journal of Integrated Care, Vol.23, pp.1-19
2023
Abstract
Introduction: Failings in providing continuity of care following an acute event for a chronic disease contribute to care inequities for First Nations Peoples in Australia, Canada, and Aotearoa (New Zealand).
Methods: A rapid narrative review, including primary studies published in English from Medline, Embase, PsycINFO, and Cochrane Central, concerning chronic diseases (cancer, cardiovascular disease, chronic kidney disease, diabetes, and related complications), was conducted. Barriers and enablers to continuity of care for First Nations Peoples were explored considering an empirical lens from the World Health Organization framework on integrated person-centred health services.
Results: Barriers included a need for more community initiatives, health and social care networks, and coaching and peer support. Enabling strategies included care adapted to patients’ cultural beliefs and behavioural, personal, and family influences; continued and trusting relationships among providers, patients, and caregivers; and provision of flexible, consistent, adaptable care along the continuum.
Discussion: The support and co-creation of care solutions must be a dialogical participatory process adapted to each community.
Conclusions: Health and social care should be harmonised with First Nations Peoples’ cultural beliefs and family influences. Sustainable strategies require a co-design commitment for well-funded flexible care plans considering coaching and peer support across the lifespan.
Details
- Title
- Health System Enablers and Barriers to Continuity of Care for First Nations Peoples Living with Chronic Disease
- Authors
- Maria Alejandra Pinero de Plaza (Corresponding Author) - Flinders UniversityLemlem Gebremichael (Author) - Flinders UniversityShannon Brown (Author) - Flinders UniversityChiung-Jung Wu (Author) - University of the Sunshine Coast, Queensland, School of Health - NursingRobyn Clark (Author) - Flinders UniversityKatharine McBride (Author) - South Australian Health and Medical Research InstituteSonia Hines (Author) - Flinders UniversityOdette Pearson (Author) - The University of AdelaideKim Morey (Author) - South Australian Health and Medical Research Institute
- Publication details
- International Journal of Integrated Care, Vol.23, pp.1-19
- Publisher
- Ubiquity Press Ltd.
- Date published
- 2023
- DOI
- 10.5334/ijic.7643
- ISSN
- 1568-4156
- Copyright note
- © 2023 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
- Grant note
- The South Australian Department for Health and Wellbeing funded this project.
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 99972798602621
- Output Type
- Journal article
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